I Am Only 22, Why Does My Face Look Tired and Old? What Can I Do? (photo)

Question

Hello,doctors.I'm only 22.But I look tired and old.Here are my pictures.Please tell me the reason.

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to discuss the best treatment options for your type of skin. .

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Kanwal Bawa, DO · Answer

Hi Helena! 90% of prematue aging is caused by sun damage so I hope that you are wearing a great mineral/ physical sunscreen daily and reapplying often. That said, diet, sleep, stress and supplements (or lack thereof) can make a major impact on your skin and general appearance. You will likely benefit from a vampire facial with PRFM, an advanced form of PRP (platelet-rich plasma) with microneedling with an FDA approved device. It uses your own growth factor to stimulate your own stem cells for a younger you! The microneedling stimulates collagen production as well. Too many medspas are doing this incorrectly and with substandard equipment so please do your research. A great medical grade HydraFacial will also help brighten your skin and address your unique needs. I am passionate about antiaging at my Boca Raton practice Bawa Medical, and so I hope that my answer helped!

Jennifer E. Lee, MD · Answer

Your skin is your largest and most directly visible organ. Its appearance reflects your inner general health, including your diet, hydration, sleep, stress, hormones, and mood. If you are generally healthy and have no major medical problems, tired skin is usually the result of neglecting one of the above.

Gregory Diehl, MD, FACS (retired) · Answer

Could it be that you have allergies or just simply sleep deprived?  

	Many people are sleep deprived and this takes its toll on your skin as well as your overall well being.  Allergies can also make your eyes look puffy and swollen which can making you look tired.

	Don't overlook the importance of nutrition (fish, fresh vegetables, fruit to name a few), hydration(recommended daily intake of 8, 8oz. of water), vitamins and SLEEP.

	
	So, eat, drink and sleep better for younger looking skin!
	
	~ Dr. Gregory Diehl

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